Provider Demographics
NPI:1326273681
Name:BOYLE, JEFFREY WALTER (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WALTER
Last Name:BOYLE
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1301 S CLIFF AVE
Mailing Address - Street 2:SUITE 506
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1005
Mailing Address - Country:US
Mailing Address - Phone:605-335-0844
Mailing Address - Fax:605-977-1715
Practice Address - Street 1:1301 S CLIFF AVE
Practice Address - Street 2:SUITE 506
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1005
Practice Address - Country:US
Practice Address - Phone:605-335-0844
Practice Address - Fax:605-977-1715
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAR-85782084N0400X
SD92612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology